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  5. AMSTERDAM UROLOGY ASSOCIATES, P.C.

AMSTERDAM UROLOGY ASSOCIATES, P.C.

Company Details

Name: AMSTERDAM UROLOGY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Jan 1995 (30 years ago)
Entity Number: 1882800
ZIP code: 12010
County: Montgomery
Place of Formation: New York
Address: 425 GUY PARK AVENUE, SUITE 203, AMSTERDAM, NY, United States, 12010
Principal Address: 425 GUY PARK AVE, STE 203, AMSTERDAM, NY, United States, 12010

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMSTERDAM UROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 141776660 2014-07-15 AMSTERDAM UROLOGY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5188431449
Plan sponsor’s address 425 GUY PARK AVENUE - SUITE 203, AMSTERDAM, NY, 12010

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing M.R. GHAZI-MOGHADAM, M.D.
AMSTERDAM UROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 141776660 2013-09-04 AMSTERDAM UROLOGY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5188431449
Plan sponsor’s address 425 GUY PARK AVENUE - SUITE 203, AMSTERDAM, NY, 12010

Signature of
Role Plan administrator
Date 2013-09-04
Name of individual signing M.R. GHAZI-MOGHADAM, M.D.
AMSTERDAM UROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 141776660 2012-07-24 AMSTERDAM UROLOGY ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5188431449
Plan sponsor’s address 425 GUY PARK AVENUE - SUITE 203, AMSTERDAM, NY, 12010

Plan administrator’s name and address
Administrator’s EIN 141776660
Plan administrator’s name AMSTERDAM UROLOGY ASSOCIATES, P.C.
Plan administrator’s address 425 GUY PARK AVENUE - SUITE 203, AMSTERDAM, NY, 12010
Administrator’s telephone number 5188431449

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing M.R. GHAZI-MOGHADAM, M.D.
AMSTERDAM UROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 141776660 2011-07-19 AMSTERDAM UROLOGY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5188431449
Plan sponsor’s address 425 GUY PARK AVENUE - SUITE 203, AMSTERDAM, NY, 12010

Plan administrator’s name and address
Administrator’s EIN 141776660
Plan administrator’s name AMSTERDAM UROLOGY ASSOCIATES, P.C.
Plan administrator’s address 425 GUY PARK AVENUE - SUITE 203, AMSTERDAM, NY, 12010
Administrator’s telephone number 5188431449

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing M.R. GHAZI-MOGHADAM, M.D.
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing M.R. GHAZI-MOGHADAM, M.D.

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 425 GUY PARK AVENUE, SUITE 203, AMSTERDAM, NY, United States, 12010

Chief Executive Officer

Name Role Address
MOHAMMAD R. GHAZI-MOGHADAM, MD Chief Executive Officer 425 GUY PARK AVE, SUITE 203, AMSTERDAM, NY, United States, 12010

History

Start date End date Type Value
1997-02-25 2001-02-02 Address 425 GUY PARK AVE, STE 203, AMSTERDAM, NY, 12010, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
190109060615 2019-01-09 BIENNIAL STATEMENT 2019-01-01
170503007277 2017-05-03 BIENNIAL STATEMENT 2017-01-01
150127006100 2015-01-27 BIENNIAL STATEMENT 2015-01-01
110121002076 2011-01-21 BIENNIAL STATEMENT 2011-01-01
081229003076 2008-12-29 BIENNIAL STATEMENT 2009-01-01
070126003012 2007-01-26 BIENNIAL STATEMENT 2007-01-01
050214002609 2005-02-14 BIENNIAL STATEMENT 2005-01-01
030225002024 2003-02-25 BIENNIAL STATEMENT 2003-01-01
010202002572 2001-02-02 BIENNIAL STATEMENT 2001-01-01
990203002119 1999-02-03 BIENNIAL STATEMENT 1999-01-01

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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